Exam 1 OB practice

The nurse is providing education regarding exercise and pregnancy. Which response by the client indicates an understanding of the teaching? "I should start a new exercise routine to keep in shape." "I will perform non-weight-bearing exercises." "Exercise will help me lose weight during the pregnancy." "Walking and stretching exercises will help with overall body conditioning."

"Walking and stretching exercises will help with overall body conditioning."

A woman who is being prepped for preimplantation testing worries because she is unsure of what the procedure entails. Which statement by the nurse best describes preimplantation testing? - "A cell from the developing fetus will be removed for genetic testing prior to the transferring of the in-vitro embryo into your uterus." - "Both you and your partner will be tested to identify who carries one copy of a gene mutation." - "Screening will be done to detect genetic disorders that can be treated early in life." - "This test allows for the early detection of genetic disorders, such as hemophilia."

- "A cell from the developing fetus will be removed for genetic testing prior to the transferring of the in-vitro embryo into your uterus."

In a teaching session with a group of adolescents, the nurse notes that the vulva is comprised of the clitoris, labia majora, labia minora, and the Bartholin's glands. Which statement made by the nurse is true of the Bartholin's glands? - "The Bartholin's glands make up the labia majora and minora and cover the urethral and vaginal openings." - "The Bartholin's gland is a muscular tube approximately 4 inches long, extending from the cervix to the perineum." "The Bartholin's glands are small masses of erectile tissues anterior to the urethral orifice that respond to sexual stimulus." - "Bartholin's glands are located in the floor of the vestibule and keep the mucous membranes moist and lubricate the vagina during sexual intercourse."

- "Bartholin's glands are located in the floor of the vestibule and keep the mucous membranes moist and lubricate the vagina during sexual intercourse."

A newly pregnant woman asks the nurse, "Why do I have to have all of this genetic testing?" What is an appropriate response for the nurse? Select all that apply. - "Genetic testing can assist in a better understanding of how to prevent disease." - "Genetic testing can help us diagnose any genetic disease you or your partner may be a carrier for and whether you could pass it on to your baby." - "Genetic testing can help prepare you and your partner if the child does have a disease." - "Genetic testing can detect who your baby will look like at birth." - "Genetic Testing will show the color of the baby's eyes."

- "Genetic testing can assist in a better understanding of how to prevent disease." - "Genetic testing can help us diagnose any genetic disease you or your partner may be a carrier for and whether you could pass it on to your baby." - "Genetic testing can help prepare you and your partner if the child does have a disease."

A nurse is providing emotional support for a woman experiencing infertility. Which statement would require further assessment from the nurse? - "Due to my infertility, I have felt isolated and alone. Thus, my provider suggested therapy for depression." - "I feel like I am less of a woman because I am unable to become pregnant." - "I am afraid of what my partner will do if I am unable to become pregnant in the next few months." - "We are hesitant to spend the money on assisted reproductive technology due to the ethical dilemmas that can occur."

- "I am afraid of what my partner will do if I am unable to become pregnant in the next few months."

The nurse is teaching a couple who is having trouble conceiving. Which statement shows the couple requires further teaching? - "I know most couples who are having trouble conceiving never learn the reason for their infertility." - "I had all the testing done and nothing is wrong with me. He doesn't need to go get tested." - "If I lose weight, it might help me conceive." - "I should find a new job because working at the polluted factory might be exposing me to bad conditions for getting pregnant."

- "I had all the testing done and nothing is wrong with me. He doesn't need to go get tested."

The nurse is providing a client with education about teratogens at her first prenatal appointment at 8 weeks. The nurse knows that education has been successful when the client makes which statement? - "I will have my partner change the cat's litter box from now on." - "I cannot eat chicken for the risk of toxoplasmosis." - "I should only report prescription medications; herbal supplements are safe." - "I do not have to worry about teratogens until my second trimester, when the baby is fully formed."

- "I will have my partner change the cat's litter box from now on."

The nurse is teaching a woman who is 8 weeks pregnant to avoid teratogens. Which client statement indicates the need for further teaching? - "I won't change the cat's litter box during the pregnancy." - "It's important to exercise during my pregnancy." - "I will schedule my next appointment as soon as I leave." - "I will not eat sushi during my pregnancy."

- "I will schedule my next appointment as soon as I leave."

A nurse is discussing infant morbidity and mortality with a student nurse. Which statement by the student nurse would indicate understanding of infant mortality? - "Infant mortality is death at birth." - "Infant mortality is death before birth." - "Infant mortality is death before the first birthday." - "Infant mortality is death before the first month."

- "Infant mortality is death before the first birthday."

After assessing a woman who had an in vitro fertilization done, the nurse documented "readiness for enhanced knowledge." Which statement made by the woman would have prompted the nurse to document "readiness for enhanced knowledge"? - "My eggs were harvested and fertilized in a laboratory before being inserted into my uterus." - "Sperm that was removed from the semen was deposited directly into my cervix via a catheter." - "A zygote was placed into my fallopian tube via laparoscopy 1 day after the oocyte was retrieved from me." - "The sperm and my oocytes were mixed outside of my body and then placed into the fallopian tube via laparoscopy."

- "My eggs were harvested and fertilized in a laboratory before being inserted into my uterus."

The nurse is teaching the new pregnant mother about the placenta and its many roles in fetal development. Which statements show an understanding of the hormones the placenta produces? Select all that apply. - "Progesterone is the hormone that makes you feel bloated." - "Testosterone is produced only if you are having a boy." - "Human chorionic gonadotropin doubles or triples the longer you are pregnant." - "Human placental lactogen helps in the production of breast milk." - "Estrogen is the reason for my pregnancy glow."

- "Progesterone is the hormone that makes you feel bloated." - "Human placental lactogen helps in the production of breast milk." - "Estrogen is the reason for my pregnancy glow."

Which statements indicate a phenotype? Select all that apply. - "The child has brown hair." - "Wow, he sounds exactly like his father." - "She has the most beautiful blue eyes." - "I carry the mutation in my genes for diabetes." - "He is short like his mother."

- "The child has brown hair." - "Wow, he sounds exactly like his father." - "She has the most beautiful blue eyes." - "He is short like his mother."

A pregnant client presents to the clinic after a prenatal test detected that her baby boy had a Y-linked inheritance disorder. The client indicates an understanding of Y-linked inheritance disorder when she makes which statement? - "Both my partner and I carry this trait and passed it along to our baby." - "I am a carrier, so I passed this disease to my baby." - "I understand that I also present with this trait and need to be tested." - "This disease was passed from my male partner to my baby."

- "This disease was passed from my male partner to my baby."

After assessing a couple that was referred to have a gamete intrafallopian transfer (GIFT) done, the nurse documented "knowledge deficit". Which statement made by the couple would have prompted the nurse to document "knowledge deficit"? Select all that apply. - "GIFT allows fertilization to take place inside the fallopian tube." - "Through in vitro fertilization, our embryo will be placed in the uterine cavity via a catheter." - "Our oocytes will be harvested and fertilization will occur outside the female body in a laboratory." - "The sperms that were aspirated directly from the testicles will be injected into the harvested eggs." - "During GIFT our sperm and oocytes will be mixed outside of the woman's body and then placed in the fallopian tube via laparoscopy."

- "Through in vitro fertilization, our embryo will be placed in the uterine cavity via a catheter." - "Our oocytes will be harvested and fertilization will occur outside the female body in a laboratory." - "The sperms that were aspirated directly from the testicles will be injected into the harvested eggs."

A pregnant client states, "I am afraid to have sex with my husband because I don't want the baby to get infected with anything." Which is the nurse's best response to help the client understand the safety of the fetus? - "If your husband doesn't use a condom, your baby will contract an infection your husband has." - "Your baby can get sick if you get a yeast infection during the pregnancy." - "Unless you or your husband has a sexually transmitted disease, your infant is protected with the amniotic sac during the pregnancy." "Having intercourse can break the amniotic sac; therefore, couples should not engage in intercourse while pregnant."

- "Unless you or your husband has a sexually transmitted disease, your infant is protected with the amniotic sac during the pregnancy."

A pregnant client is about to undergo an elective abortion. She has consented to the harvesting of fetal tissue. The nurse notifies the manager that she finds the harvesting morally wrong. Which is the manager's best response? - "this is about the client, not your judgment" - "i will have another nurse assist with the procedure" - "i'm sorry you feel that way, you still have to assist" - "i agree with you, harvesting fetal tissue is wrong"

- "i will have another nurse assist with the procedure"

A nurse is explaining Body Mass Index (BMI) to clients at a preconception class. Which BMI selected by a client as normal for optimal conception indicates that learning has occurred? - less than 18.5 - 18.5 to 24.9 - 25- 29.9 - more than 30

- 18.5 to 24.9

A nurse overhears a primigravida telling her friend that her newborn is underweight. Which does the nurse recall as normal birth weight? - 4000 grams and above - 1000 to 1499 grams - 1500 to 2499 grams - 2500 to 3999 grams

- 2500 to 3999 grams

The nurse is assessing a newborn at birth. When assessing the umbilical cord, she should expect to see how many vessels? - 1 - 2 - 3 - 4

- 3

An outcome of Healthy People 2020 is to "increase abstinence from alcohol among pregnant women." Which pregnant client would be at the highest risk for alcohol use? - 19 year old african american - 24 year old hispanic - 30 year old caucasian - 17 year old pacific islander

- 30 year old caucasian

The nurse is seeing a woman at 18 weeks gestation for an assessment due to an increased risk for intrauterine growth restriction. To which drug or chemical should the nurse be concerned the mother has been exposed? Select all that apply. - alcohol - ACE inhibitors - carbamazepine (anticonvulsants) - cocaine - warfarin

- ACE inhibitors - carbamazepine (anticonvulsants) - cocaine

A client in active labor has progressed to the second stage of labor. Allowing the mother to initiate spontaneous pushing is one of the quality measures set by the: - ANA - AWHONN - EBP - AHRQ

- AWHONN

A pregnant mother who was exposed to teratogens is now admitted with a diagnosis of fetal growth restriction. In order for this medical diagnosis to be made, the nurse would determine the mother was mostly likely exposed to teratogens during which period? - Before getting pregnant - After 13 weeks of gestation - during the period of organogenesis - During the first 8 weeks of gestation

- After 13 weeks of gestation

The nurse is evaluating declining birthrates of women ages 15 to 19 over the last 4 decades. Which is determined as a cause of this occurrence? - An increase in the availability of highly effective contraceptives - An increase in obesity in this age group causing infertility - An increase incidence of sexually transmitted infections (STI) causing infertility - An increase in schools teaching abstinence for pregnancy prevention

- An increase in the availability of highly effective contraceptives

A client at 20 weeks gestation presents to the unit reporting contractions every five minutes for two hours. Which intervention would the nurse perform first? - Assess for imminence of birth. - Assess contraction pattern. - Evaluate medical history. - Evaluate for pregnancy complications.

- Assess for imminence of birth.

The nurse is caring for two clients in their 40s who are pregnant for the first time. Which is the anticipated assessment finding for the trend in birthrate related to the client's age and time of first delivery? - Birthrate has increased for women over 40, due to the availability of contraceptives. - Birthrate has decreased for women over 40 years, due to delayed childbirth over career. - Birthrate has decreased for women over 40 years, due to availability of contraceptives. - Birthrate has increased for women over 40 years, due to delayed childbirth over career.

- Birthrate has increased for women over 40 years, due to delayed childbirth over career.

The nurse is mentoring a nursing student. The student asks about the leading cause of infant death. How would the nurse respond? - Disorders related to short gestation and low birth weight - Congenital malformations and chromosomal abnormalities - Newborn affected by maternal complications of pregnancy -Newborns affected by complications of placenta, cord, and membranes

- Congenital malformations and chromosomal abnormalities

A past trend of maternal newborn nursing is a hospital post-partum stay of 10 days. Which issue did this put the client at risk for? - DVT - pulmonary hypertension - impaired skin integrity - post partum infection

- DVT

In genetic testing, which role would the nurse question performing? - Diagnosing a fetus with a genetic disorder. - Identifying at-risk clients and families - Providing emotional support for the client and family - Providing a referral to support groups and genetic counseling services

- Diagnosing a fetus with a genetic disorder.

After assessing a couple planning to terminate their pregnancy based on the results of the genetic test, the nurse documented "anticipatory grieving". What is the nurse's appropriate plan of care for this couple? - Reiterating to the couple that grieving is abnormal - Advising the couple to separate from each other for a week - Discussing with the couple the stages of grief they will experience - Warning the couple that thinking about their "dream child" is of concern

- Discussing with the couple the stages of grief they will experience

The nurse asks for clarification regarding malpractice insurance at a conference. Which concept will the facilitator most likely address regarding malpractice litigation? - scope of practice - qualified licensure - rapport with patient - EBP

- EBP

The nurse is attempting to learn more to prepare for their new fertility center job. To understand the role of FSH and LF in the menstrual cycle, which does the nurse need to know? - FSH and LH induce the production of milk in the breasts - FSH and LH are released by the anterior pituitary gland - FSH and LH are secreted by the corpus luteum - the FSH and LH are released by the adrenal glands

- FSH and LH are released by the anterior pituitary gland

A nurse caring for a laboring client strives to decrease the risk of exposure to liability. Which common malpractice allegations would the nurse guard against? Select all that apply. - Failure to accurately assess maternal and fetal status - Failure to heed the medical suggestions of the doula - Failure to treat an abnormal or indeterminate fetal heart rate (FHR) - Failure to correctly communicate maternal/fetal status to the family - Failure to institute the chain of command when there is a clinical disagreement

- Failure to accurately assess maternal and fetal status - Failure to treat an abnormal or indeterminate fetal heart rate (FHR) - Failure to institute the chain of command when there is a clinical disagreement

Maternity nurses are more likely to face litigation than other areas of nursing. Which scenarios listed below exemplify errors in clinical judgement? Select all that apply. - Failure to recognize deteriorating fetal status - Failure to check for imminence of delivery - Failure to have client sign admission paperwork - Failure to therapeutically communicate with client - Failure to communicate status of client to provider

- Failure to recognize deteriorating fetal status - Failure to check for imminence of delivery - Failure to communicate status of client to provider

A male client is seen at the provider's office for infertility. Which issue would the nurse question disregard as a possible cause of male infertility? - Attending daily cycling classes at the local gym - Having an overweight body mass index - Smoking two to three cigarettes a day - Taking a calcium channel blocker for hypertension

- Having an overweight body mass index

A Clinical Nurse Specialist is presenting qualitative research findings as evidence for nursing practice to a group of nurses. Which statements by the nurses would indicate understanding of use value qualitative research? Select all that apply. - In qualitative research, lived experiences increase nurses' understanding of patients' concerns. - Qualitative research is valuable in disseminating findings widely to patients. - Provision of rich description is of complex phenomenon. - Qualitative research is valuable in tracking unique or unexpected events. - Structured question techniques provide detailed, diverse insights of individuals.

- In qualitative research, lived experiences increase nurses' understanding of patients' concerns. - Provision of rich description is of complex phenomenon. - Qualitative research is valuable in tracking unique or unexpected events.

A clinical instructor is explaining challenges nurses face in translating research into practice. Which barriers of research utilization in practice will the instructor include in this explanation? Select all that apply. - Inadequate knowledge and skills in EBP by nurses - Younger generation of nursing staff - Lack of cultures and environments that support EBP - Resistance to change old habits - Adequate numbers of EBP mentors in healthcare systems

- Inadequate knowledge and skills in EBP by nurses - Lack of cultures and environments that support EBP - Resistance to change old habits

The nurse educator is assessing nurses' integration of best research evidences in practice. Which assessment findings would the nurses associate with barriers to implementation of EBP in nursing practice? - Difficulty in judging the quality of research reports - Insufficient time at work place to implement changes in practice - Inadequate mentoring by nurses who have adequate EBP experience - Inadequate support from nurse managers who embrace EBP - Insufficient time to conduct EBP

- Inadequate mentoring by nurses who have adequate EBP experience - Inadequate support from nurse managers who embrace EBP

The treatment of infertility depends on the cause. For what reason would surgery be an indication for a male who is infertile? Select all that apply. - Abnormal sperm counts due to lifestyle practices - Hormonal imbalance due to endocrine factors - Inguinal hernia due to poor lifting techniques - Varicocele caused by straining to pass feces - overproduction of sperm antibodies

- Inguinal hernia due to poor lifting techniques - Varicocele caused by straining to pass feces

Maternity nursing is the most litigious of all practice areas. Which interventions would a nurse utilize to minimize the risks of litigation. Select all that apply. - Maintain current knowledge and skills through life-long learning - Adhere to facility standards and policies - Ensure comprehensive and objective documentation - Make patient's well-being the focus of care - Utilize applicable evidence-based standards and guidelines

- Maintain current knowledge and skills through life-long learning - Adhere to facility standards and policies - Ensure comprehensive and objective documentation - Make patient's well-being the focus of care - Utilize applicable evidence-based standards and guidelines

A nurse educator is presenting declining birthrate trends in several countries including the United States at a perinatal class. Which factors selected by the participants indicate that the teaching was successful? Select all that apply. - More women choosing to remain child-free - Legalization and availability of elective abortions - Decreased stigma to single motherhood - Rising cost of raising children - more teenagers having children

- More women choosing to remain child-free - Legalization and availability of elective abortions - Rising cost of raising children

The nurse is assessing a neonate born before term. Which is the correct classification of preterm birth? - Neonate born at less than 20 weeks of gestation - Neonate born at less than 32 weeks of gestation - Neonate born at 38 weeks of gestation - Neonate born at 41 weeks of gestation

- Neonate born at less than 32 weeks of gestation

The maternal mortality ratio (MMR) has increased to 14 in the U.S. since 1990. Today a woman giving birth in the U.S. is four times more likely to die than a woman giving birth in which country? - Poland - Netherlands - Canada - China

- Poland

A client reported that her menstrual period started 14 days ago and she is unsure of when ovulation will be taking place. Based on the client's history, the nurse notes that the client is ovulating. Which activity does the nurse expect to be happening with this client at this time? Select all that apply. - She is unable to get pregnant. - The endometrial tissue is about to be sloughed off. - The empty Graafian follicles morph to form the corpus luteum. - The client's estrogen levels will peak and decrease with the release of the oocyte. - Before the surge of luteinizing hormone estrogen levels decrease and progesterone levels increase.

- The client's estrogen levels will peak and decrease with the release of the oocyte. - Before the surge of luteinizing hormone estrogen levels decrease and progesterone levels increase.

During a written exam, a nursing student was asked to list the structures derived from the primary germ layers. The student states that the mucosa of the oral and nasal cavities is derived from the ectoderm. Which other statement about the primary germ made by the student is correct? - The mucosa of the esophagus, stomach, and intestines are developed from the mesoderm. - The bone marrow, blood, and lymphatic tissues are developed from the ectoderm. - The epidermis, hair, and nail follicles are developed from the ectoderm. - The lens, cornea, and internal ear are developed from the mesoderm.

- The epidermis, hair, and nail follicles are developed from the ectoderm.

A male partner was evaluated by a urologist and was asked to do a semen analysis. Which instruction should the nurse give to the couple? Select all that apply. - A urine sample can be collected at home to identify the ideal time for intercourse. - The specimen should be brought to the site within an hour of collection. - Abstain from sex for 2-3 days before providing a masturbated sample of semen. - Measure the temperature before getting out of bed in the mornings. - Several semen analyses may be required.

- The specimen should be brought to the site within an hour of collection. - Abstain from sex for 2-3 days before providing a masturbated sample of semen. - Several semen analyses may be required.

The nurse assessing a neonate determines that the neonate was born at 36 weeks gestation because the testes are in the upper portions of the scrotum. which other features of a neonate born at 36 weeks gestation does the nurse expect to find? - Weighs 2,100 grams, is 30 cm long, and has an increased amount of adipose tissue - Weighs 2,900 grams, is 34 cm long, and lanugo begins to disappear - Weighs 820 grams, is 23 cm long, and lungs begins to develop surfactant - Weighs 1,300 grams, is 27 cm long, and lungs are not fully mature

- Weighs 2,900 grams, is 34 cm long, and lanugo begins to disappear

Ethical issues arise when clients use assisted reproductive therapies. Which are ethical issues? Select all that apply. - Who owns the embryos? - Do sperm donor have rights? - The surrogate mother funds her own treatment. - Who decides what happens with the surplus embryos? - Should the surrogate mother do skin-to-skin with the infant after birth?

- Who owns the embryos? - Do sperm donor have rights? - Who decides what happens with the surplus embryos? - Should the surrogate mother do skin-to-skin with the infant after birth?

A teen mom is in the clinic for her prenatal intake assessment. Which assessment data would indicate that the client is at increased risk for complications during and following this pregnancy? Select all that apply. - age 16 - housing: lives with parents - father: also 16 - weight: 240 lbs - occupation: unemployed

- age 16 - weight: 240lbs

Maternity nurses advocate for both mother and baby. A dilemma the nurse may face is advocating for maternal rights versus fetal rights. Which of the following would this include? Select all that apply. - alcohol use during pregnancy - refusing fetal surgery - induction of anencephalic fetus - drug testing in pregnancy - pre conception gender selection

- alcohol use during pregnancy - refusing fetal surgery - drug testing in pregnancy

A nursing student asks about the AWHONN standards of care. The nurse explains the standards of care guide optimal practice. Which responses are included in the standards of care. Select all that apply - assessment - evaluation - risk management - diversity - implementation

- assessment - evaluation - implementation

A client decision based on the right to self-determination could result in decisions that are not in the best interest of the fetus. Which ethical principle addresses the nurse's support of client decisions? - autonomy - fidelity - justice - beneficence

- autonomy

Providing encouragement to stop drinking alcohol to a prenatal client is an example of which ethical dilemma? - Non-maleficence - Fidelity - veracity - autonomy

- autonomy

The nurse is working at a facility that promotes breastfeeding. Supporting a patient's free choice and personal decisions to bottle-feed is guided by which ethical principle? - autonomy - fidelity - justice - veracity

- autonomy

A perinatal nurse educator is presenting information on infant death prevention strategies at a prenatal class. Which prevention strategy from the participants indicates the class session met the learning outcome? - more normal birth weight infants - increased breastfeeding trend - back to sleep campaign - more babies born at full term

- back to sleep campaign

The nurse is reviewing a client's chart, noting the client has tried assessing for ovulatory dysfunction. Which tool is used for assessing ovulatory dysfunction? - basal body temperature charting (BBT) - endometrial biopsy - hysterosalpingogram - laparoscopy

- basal body temperature charting (BBT)

A nurse is providing health teaching to a group of teenagers about the long-term effects teen pregnancies and births may have on the mothers and the family. Which effects will the nurse include as an effect on the children of teen mothers? Select all that apply. - health problems related to high birth weight -high mortality rates - behavioral problems - placement in group homes - lower school achievement

- behavioral problems -high mortality rates - lower school achievement

A nurse was presenting problems of health disparity at a conference. Which population experiences the greatest health disparity? - hispanic - black - asian - white

- black

When assessing the newborn, the nurse notes two vessels in the umbilical cord. What should the nurse do next? - call the pediatrician - start an IV on the infant - check infant's pulse oximetry - listen to infant's heart sounds

- call pediatrician

The fetal heart rate (FHR) tracing records 90 beats per minute without absent baseline variability. Which FHR classification will the nurse interpret for this tracing? - category 1 - category 2 - category 3 - category 4

- category 2

A nurse is caring for an obese, 12-week-pregnant client with a history of hypertension. Which priority childhood problem would the nurse associate with adverse effects of the client's obesity? - childhood diabetes - childhood hypertension - childhood obesity - childhood hyperthyroidism

- childhood obesity

Which of the nurse's assessment results would indicate a modifiable health disparity? - cigarette smoking - african american - heterosexual - bisexual

- cigarette smoking

During which day of a typical 28-day menstrual cycle does the follicular phase occur? - cycle days 1 to 13 - cycle days 15 to 28 - cycle day 14 - cycle day 1 to 5

- cycle days 1 to 13

A newly pregnant client is seen in the clinic for her first prenatal appointment. She states she has a family history of an autosomal recessive disease. Which disease has an autosomal recessive pattern of inheritance? - cystic fibrosis - hemophilia - huntington's disease - sickle cell anemia - tay sachs disease

- cystic fibrosis - hemophilia - huntington's disease - sickle cell anemia - tay sachs disease

A couple was scheduled for an artificial insemination procedure. Which fertility condition does the nurse expect to find documented in the couple's medical record as a reason for needing this procedure? - unexplained infertility - diminished sperm motility - bilaterally blocked fallopian tubes - unsuccessful vasectomy reversal

- diminished sperm motility

During a prenatal intake a client admits to smoking marijuana daily. The nurse's only option, while functioning as an advocate, is to: - report her substance abuse to the police department - have the patient committed to a substance abuse center - encourage the client to stop and provide information for recovery - report the client to the public health department

- encourage the client to stop and provide information for recovery

Which is the intended purpose of the ANA Code of Ethics? - directive of moral nursing duties - code of conduct to preserve the values of nurses - ethical standard for the nursing profession - code specifically for maternity nurses

- ethical standard for the nursing profession

A woman has opted to have a gamete intrafallopian transfer (GIFT) done. Which fertility condition in her history would indicate to the nurse that this is the correct procedure? - poor cervical mucus production as a result of previous surgery of the cervix - diminished sperm motility - bilaterally blocked fallopian tubes - failed infertility treatment for anovulation

- failed infertility treatment for anovulation

The nurse caring for a laboring client reassures the client that her pain will be effectively managed. Which ethical principle would the nurse utilize to accomplish the pain management intervention? - autonomy - fidelity - veracity - beneficence

- fidelity

The nurse is preparing the necessary equipment for a client to have hysterosalpingogram done. Which equipment is the nurse expected to have prepared for this procedure? - fluoroscope - laparoscope - biopsy needle - basal thermometer

- fluoroscope

A client complains to the nurse manager about the incompetent care she received from a nurse and threatens to sue the hospital. The nurse manager will anticipate which defensible nursing action against litigation? - focus on EBP care - focus on competent care practices - focus on routine facility protocols - focus on the well being of the patient

- focus on the well being of the patient

During a health assessment, a client was asked to state her last menstrual period. She replied, "This is my second day of having my menstrual flow." Which phase of the ovarian cycle would the nurse determine the client is in currently? - luteal phase - follicular phase - proliferative phase - ovulatory phase

- follicular phase

A parent visits the prenatal clinic wanting to know which genome gives babies their genetic makeup. Which is the appropriate answer by the nurse? - gamete - genetics - genotype - genomics

- genotype

The nurse is teaching an obese pregnant client about the risks associated with obesity during pregnancy. Which teachings would the nurse include? Select all that apply. - gestational diabetes - preeclampsia - abruptio placenta - sleep apnea - precipitous delivery

- gestational diabetes - preeclampsia - sleep apnea

The nurse meets with a couple that was diagnosed with infertility after two years of trying to get pregnant. They are scheduled to have a gamete intrafallopian transfer (GIFT) done. Which fertility condition should the nurse expect to be an indication for this couple's need for assisted fertility technology? - the man not having any vas deferens - the man had an unsuccessful vasectomy reversal - the woman having bilaterally blocked fallopian tubes - having a history of failed infertility treatment for anovulation

- having a history of failed infertility treatment for anovulation

The nurse is visiting the home of a woman who recently had a fetal demise. Toxoplasmosis is suspected. Which finding would confirm the possibility of toxoplasmosis exposure? Select all that apply. - history of having a STI - history of frequently smoking marijuana - having poor air quality at home - having many cats at home - consuming uncooked beef

- having many cats at home - consuming uncooked beef

A nurse is developing a prenatal course and reviews articles of Randomizing Control Trials (RCT) to prepare. RCT are an example of which level of evidence? - lowest - highest - moderate - minimal

- highest

A client is asking for a Clomiphene (Clomid) prescription for infertility because she heard "it works." Which would the nurse evaluate before suggesting medication for infertility? - has she and her partner had hormone testing? - does she have a history of uterine fibroids? - has she had surgery to clear her fallopian tubes? - how long has the couple been trying to conceive?

- how long has the couple been trying to conceive?

During a teaching session, the nurse had a discussion on the issue of Y-linked inheritance. Which response by the father indicates that learning has taken place? - the baby inherited the disease from my wife - my grand aunt has the same condition - i passed on the condition to my baby - we both gave the baby our disease

- i passed on the condition to my baby

The nurse is caring for a client who is deliberating over terminating a severely abnormally developed fetus. Which factors may have influence on the client's decision? Select all that apply. - ideas of morality - spiritual beliefs - cultural practices - societal values - legislative mandates

- ideas of morality - spiritual beliefs - cultural practices

The U.S. has a higher rate of premature births compared to other high-income countries. How could this be explained? - increase in induction of labor - increased cesarean rates - increase in obesity of mothers - improved outcomes of premature neonates

- increase in induction of labor

The nurse in teaching a group of pregnant women. A client asks why cesarean section (C-section) rates in the U.S. have increased since 1996. How would the nurse respond? - increased fetal monitoring - increase in birth rates - increase in home births - improve birthing rooms

- increased fetal monitoring

Upon which is the status of maternal health, community health, and quality healthcare dependent? - genetic disorders - birth rates - infant mortality - total fertility rates

- infant mortality

The nurse is caring for a 19-year-old primigravida who has no health insurance or support system. Which ethical principle guides the nurse to provide the same care to this client as other clients on the unit? - autonomy - fidelity - justice - beneficence

- justice

A neonatal nurse caring for a newborn suspects fetal alcohol syndrome (FAS). Which assessment findings would the nurse report to the health care provider for early diagnosis and interventions of fetal alcohol syndrome? Select all that apply. - lack of focus - small head - poor coordination - hypoactivity - facial deformity

- lack of focus - small head - poor coordination - facial deformity

A client at 38 weeks gestation reports drinking alcohol throughout her pregnancy. Which issue, in addition to fetal alcohol spectrum disorders (FASDs), should the nurse explain that the fetus is at increased risk for? - low birth weight - increased birth weight - poorly developed lungs - spina bifida

- low birth weight

The Jonsen Model is a systematic approach to analyzing clinical ethics to help healthcare providers reach an ethical decision. Place the four topics of Jonsen's model in the correct order. - QOL - contextual features - patient preferences - medical indications

- medical indications - patient preferences - QOL - contextual features

A neonate was admitted shortly after birth with a history of the mother who consumed at least six alcoholic beverages per day during pregnancy. For which feature of fetal alcohol syndrome should the nurse expect to assess? Select all that apply - microcephaly - cardiac defects - cerebral infarction - neural tube defects - unusual facial features

- microcephaly - cardiac defects - unusual facial features

The nurse is caring for a post-partum client who delivered at 33 weeks. Which classification of preterm birth would the neonate fit into? - moderately premature - very premature - late premature - nonviable

- moderately premature

The husband of a laboring client is insisting on a cesarean birth. The primary advocacy role of the nurse will be for which client? - father - mother - fetus - family

- mother

The nurse is caring for a pregnant teenage client who is abusing drugs. Which ethical principle will the nurse consider when planning the client's educational activity on the consequences of drug abuse during pregnancy? - autonomy - justice - nonmaleficence - veracity

- nonmaleficence

Which umbilical blood vessels carry oxygenated blood from the placenta to the fetus? - one umbilical vein - one umbilical artery - two umbilical arteries - two umbilical veins

- one umbilical vein

A nurse is attending the birth of a 22-week neonate. At delivery, there are no signs of life. Which are reasons for the healthcare team's decision to withhold treatment? Select all that apply. - parental wishes - ethical standards - neonate prognosis - hospital policy - personal morals

- parental wishes - ethical standards - neonate prognosis - hospital policy

The nurse is teaching a new nurse about the placenta's oxygen pathway to the newborn. The nurse understands that high levels of oxygenated blood come from what part of the fetal circulation? - placenta and umbilical vein - placenta and umbilical artery - ductus arteriosus - umbilical vein and umbilical artery

- placenta and umbilical vein

A pregnant client in her second trimester is in the provider's office for an ultrasound. Her provider finds that the fetus has a congenital heart defect. Which condition is the client at risk for during pregnancy? Select all that apply. - oligohydramnios - polyhydramnios - one vessel umbilical cord - two vessel umbilical cord - three vessel umbilical cord

- polyhydramnios - two vessel umbilical cord

A nurse is assessing a newborn of a client who smoked during pregnancy to determine the Apgar score. Which assessment findings would the nurse associate with maternal smoking during pregnancy? Select all that apply. - premature birth - still birth or miscarriage - SIDS - low birth weight - respiratory problems

- premature birth - low birth weight - respiratory problems

A couple visiting the clinic voiced their concern that their unborn baby might have Trisomy 21 at birth. Which test would the nurse recommend for this couple? - carrier testing - prenatal testing - newborn screening - preimplantation testing

- prenatal testing

The nurse educator is planning education for the nursing staff on the application of evidence- based practice into patient care. Which level of evidence will the nurse educator consider as the gold standard? - unsystematic clinical observations - expert opinions - randomized controlled trial - controlled cohort studies

- randomized controlled trial

A teen mother gives birth to a premature low birth weight (LBW) neonate. She asks the nurse why her baby is so small. Which risk factor contributed the most to the low birth weight? - teen pregnancy - smoking tobacco - using illicit drugs - obesity

- smoking tobacco

A pregnant teen is being treated for a sexually transmitted infection. Which STI can cause neonatal blindness and death? - chlamydia - gonorrhea - syphilis - HIV

- syphilis

An evaluation of a client's sperm shows that the sperm are immature due to hormonal imbalance. Which hormone does the nurse determine caused the sperm to be immature? - follicle stimulating hormone - luteinizing hormone - testosterone - estrogen

- testosterone

The nurse is reviewing a client's charts before admission for an induction of labor. Which client would have extra assistance at delivery? - the client who was diagnosed with with oligohydramnios - the client who is having her fifth baby - the client who is pregnant with her first baby and had a treated UTI during pregnancy - the client who has had hyperemesis gravidarum during the pregnancy

- the client who was diagnosed with with oligohydramnios

The nurse is reviewing a client's chart and comes across genetic testing results. When answering questions from the family, which statement would prompt the nurse to provide further education? - the human cell has 46 chromosomes - the human cell has 22 homologous pairs - the human cell has two pairs of sex chromosomes - the human cell has XX or XY chromosomes

- the human cell has two pairs of sex chromosomes

In preparing a client for endometrial biopsy, the nurse stated that this procedure is usually performed at the end of the menstrual cycle. Which is the indication for doing this procedure during this time? - to assess the response of the uterus to hormonal signals that occur during the cycle - to detect a rapid increase i the luteinizing hormone 36 hours before ovulation - to detect tubal adhesions, fibroids, and uterine fistulas - to determine the size of the remaining egg reserve

- to assess the response of the uterus to hormonal signals that occur during the cycle

A student nurse asks the nurse to explain the purpose of risk management. How would the nurse respond? - to avoid preventable adverse outcomes - to guide evidence based practice - to generate plans of care - to manage court ordered treatment

- to avoid preventable adverse outcomes

The ANA code of ethics applies to all nurses. Which is a function of the code of ethics? - to establish a moral standard for the profession - to hold nurses accountable for responsibilities - to distribute resources according to need - to be a resource for nurses facing ethical dilemma

- to be a resource for nurses facing ethical dilemma

A nurse receives an order to prepare a client who is pregnant with quadruplets for fetal reduction in order to promote a better outcome for the mother and babies. This is this an example of which? - utilitarianism - libertarianism - beneficence - non maleficence

- utilitarianism

The nurse is caring for a client who has been laboring for several hours. The client asks the nurse about the possibility and risks of cesarean delivery. Which ethical principle guides the nurse's response? - beneficence - fidelity - nonmaleficence - veracity

- veracity

The nurse is conducting an investigation on the effects of teratogenic agents on the newborn. The nurse found that exposure to some viruses and substances during pregnancy may result in blindness in the newborn. Which of the following teratogenic agents would the nurse have identified as increasing the risk of blindness in newborns? - cocaine - zika - carbamazepine - ACE inhibitors

- zika

The nurse is recalling the steps in cell division, beginning at conception and ending with fetal development. List the following steps in order of development: - blastocyst - zygote - embryo - fetus

- zygote - blastocyst - embryo - fetus

A client's first day of her last menstrual period was April 6, 2018. Using Naegele's rule, the nurse estimates the date of delivery to be 01/??/2019. Fill in the day of the month only.

1/13/2019

Using Naegele's Rule, calculate the estimated due date (EDD) if the woman's last menstrual period (LMP) was June 11. What day of the month will the nurse tell the client? Enter the numeral only.

18

A female client was diagnosed with anovulatory infertility and was prescribed 150 mg/day of Clomiphene (Clomid) for 1 month. The stock volume for the Clomiphene (Clomid) stated 25 mg. The nurse is expected to instruct the client to take _______________ tablets per day? Fill in the blank and enter a numerical value only. Do not enter the units

6

A woman diagnosed with Gestational Diabetes Mellitus (GDM) was referred to have a Group B Streptococcus (GBS) screening done. At which stage of the pregnancy would the nurse recommend the client to have this screening done? 10 to 12 weeks of gestation 15 to 23 weeks of gestation 24 to 28 weeks of gestation 35 to 37 weeks of gestation

35 to 37 weeks of gestation

A pregnant client at term visits the clinic and tells the nurse that she is feeling tired all the time. A review of her laboratory results show that her hematocrit level is low. The nurse documented "Fatigue" in the client's health records. Which recommendations by the nurse is correct? A. "Eat iron-rich foods, ask for assistance from family, and get adequate rest." B. "Wear loose fitting clothes, elevate legs when sitting, and position yourself on your side when lying." C. "Maintain adequate hydration, rise slowly from sitting to standing, and avoid lying on your back." D. "Avoid lying on your back, keep your feet moving when standing, and avoid standing for prolonged periods."

A. "Eat iron-rich foods, ask for assistance from family, and get adequate rest."

The nurse in a teaching session with a group of women who are trying to get pregnant has advised them to reduce their exposure to substances that are suspected to be harmful during pregnancy. Which statement by a client indicates that the teaching session was effective? A. "I am really trying to stop smoking tobacco and lessen my usage of coffee." B. "I believe over the counter drugs are safer than prescribed drugs." C. "Taking herbal supplements is good for the baby." D. "The household chemicals that I use are safe."

A. "I am really trying to stop smoking tobacco and lessen my usage of coffee."

The nurse is educating a 32-weeks-pregnant client on how to perform kick counts. Which statement by the client would indicate a need for further teaching? A. "I will perform the kick counts at a different time every day." B. "I should call my doctor right away if the baby is not moving as much as usual." C. "It is normal for the baby to move about 10 times or more in 2 hours." D. "A kick, flutter, or roll counts as movements."

A. "I will perform the kick counts at a different time every day."

During a physical examination, the nurse observed that a client in her late pregnancy has hemorrhoids and varicosities in her legs. Which statement by the nurse explains the cause for these two conditions in a pregnant client? A. "Increased venous pressure and decreased blood flow to the extremities, due to compression of the iliac veins and inferior vena cava." B. "Increased action of adrenocorticosteroids leads to cutaneous elastic tissues becoming fragile." C. "The stretching of the abdominal muscle, due to the enlarging uterus." D. "Increased plasma fibrin by 40% and the fibrinogen by 50%."

A. "Increased venous pressure and decreased blood flow to the extremities, due to compression of the iliac veins and inferior vena cava."

A mother who had a stillbirth 2 months ago stated that she has been trying to get pregnant. The nurse determines that she may be at risk for iron-deficiency anemia. Which advice would the nurse give to this woman? A. "Take iron supplements." B. "Continue taking megadoses of vitamins and minerals." C. "Increase your intake of calcium and magnesium." D. "Take Folic acid 0.6mg once per day."

A. "Take iron supplements."

A pregnant woman asked the nurse why her home is being assessed for the Aedes albopictus mosquitoes. The nurse responded by saying, "I intentionally assessed your home because you are pregnant." Which other reason given by the nurse is correct? Select all that apply. A. "Your spouse has the Zika virus and can transmit it to you during sexual intercourse." B. "You have been non-compliant with the vaccination to prevent Zika virus infection." C. "You have been reporting fever, rash, headache, and muscle pain for the past week." C. "We do not want the Zika virus to increase the growth of your baby too much." D. "The Zika virus is an infection that is spread by infected Aedes albopictus mosquitos."

A. "Your spouse has the Zika virus and can transmit it to you during sexual intercourse." C. "You have been reporting fever, rash, headache, and muscle pain for the past week." D. "The Zika virus is an infection that is spread by infected Aedes albopictus mosquitos."

The nurse is planning care for a group of clients. Which client would need to receive Rho (D) Immune Globulin (RhoGAM)? A. A client whose blood type is O-negative B. A client whose white blood cell count was below normal C. A client with an autoimmune disorder D. A client whose blood type is O-positive

A. A client whose blood type is O-negative

A nurse in a fertility clinic is caring for a client who has been trying to conceive. Which symptoms does the nurse teach the client to note as presumptive signs of pregnancy? Select all that apply. A. Amenorrhea B. Nausea and vomiting C. Skin hyperpigmentation D. Positive urine test E. Breast changes

A. Amenorrhea B. Nausea and vomiting E. Breast changes

The nurse is educating a 34-week gestation client about danger signs to report to her health care provider. Which symptom would be added to the nursing care? A. Blurry vision or seeing "floaters" B. Edema in her feet and ankles after being on her feet at work C. Frequent urination D. Occasional nausea and vomiting

A. Blurry vision or seeing "floaters"

The nurse will be focusing on 'self-care' during a preconception counseling session with women who are seeking to get pregnant. Which advice should the nurse include in the counseling session? Select all that apply. A. Discontinue the use of herbal supplements before pregnancy. B. Avoid aerobic and regular weight-bearing exercise before pregnancy. C. Continue with the same megadoses of vitamins and minerals as prescribed. D. Ensure that smoke alarms and carbon monoxide detectors are in working order. E. Maintain optimal oral health and treat any periodontal disease before pregnancy.

A. Discontinue the use of herbal supplements before pregnancy. D. Ensure that smoke alarms and carbon monoxide detectors are in working order. E. Maintain optimal oral health and treat any periodontal disease before pregnancy.

During a prenatal appointment, the nurse assesses the client's blood pressure and obtains a reading of 152/94 mmHg. The nurse should assess for which additional symptoms? Select all that apply. A. Facial edema B. Dyspnea C. Vision changes D. Severe headache E. Pelvic pressure

A. Facial edema C. Vision changes D. Severe headache

A client with a history of amenorrhea lasting more than a month was booked to have an ultrasound examination done for the purpose of diagnosing her pregnancy. Which other data in the client's history should the nurse use to determine the need for this procedure? Select all that apply. A. Having an ectopic pregnancy 1 year ago B. Vaginal bleeding since 2 days ago C. Having a regular menstrual cycle D. Palpating fetal movement E. Complaint of constipation

A. Having an ectopic pregnancy 1 year ago B. Vaginal bleeding since

The nurse is preparing to measure a client's fundal height. which would the nurse do to obtain the most accurate measurement? A. Instruct the client to empty her bladder. B. Place the measuring tape just below the umbilicus. C. Use the millimeter markings on the measuring tape to record fundal height. D. Instruct the client to take a deep breath and hold it during the measurement.

A. Instruct the client to empty her bladder.

A multiparous client asks the nurse what she can do to help with leaking urine when she coughs or sneezes. Which intervention would the nurse recommend? A. Perform Kegel exercises B. See a urology specialist for surgery C. Empty her bladder every hour D. Obtain a specimen for urinalysis

A. Perform Kegel exercises

A woman visits the clinic and states that she has missed four menstrual periods and is unsure if she is pregnant. The nurse informs her that a ballottement test will be done to diagnose pregnancy. How can a ballottement test assist the nurse in confirming a pregnancy? A. Softening of the cervix and vagina B. Softening of the lower uterine segment C. Brownish pigmentation over the client's forehead D. Bluish-purplish coloration of the vaginal mucosa E. A dark line that runs from the umbilicus to the pubis

A. Softening of the cervix and vagina B. Softening of the lower uterine segment D. Bluish-purplish coloration of the vaginal mucosa

A nurse reads the client's history and physical, which lists the GTPAL as 3-1-1-0-2. How would the nurse interpret this? A. The client has been pregnant three times, delivered once at term, once at preterm, and has two living children. B. The client has been pregnant three times, delivered once at term, once at preterm, and had one miscarriage. She now has two living children. C. The client has been pregnant three times, had one set of twins, one delivery after 20 weeks, and two children are living. D. The client has been pregnant three times, had one therapeutic abortion, one delivery after 20 weeks, no miscarriages, and two living children.

A. The client has been pregnant three times, delivered once at term, once at preterm, and has two living children.

The nurse obtains a fundal height measurement of 32 cm on a client experiencing a healthy, low-risk pregnancy. How does the nurse interpret this measurement? A. The client is approximately 32-week gestation. B. The weight of the fetus is approximately 3200 grams. C. The amniotic fluid volume is 3.2 cm. D. The distance from the fundus to the xiphoid process is 32 cm.

A. The client is approximately 32-week gestation.

A couple that recently emigrated from another country visited the prenatal clinic for the first time. The nurses decided to conduct a cultural assessment of the couple. Which assessment by the nurse could assist in planning a culture-specific prenatal care for this couple? Select all that apply. A. The couple's expectation of the health care system B. The couple's need for one-on-one prenatal care C. The couple's beliefs relating to pregnancy D. History of intimate partner violence E. A review of systems

A. The couple's expectation of the health care system C. The couple's beliefs relating to pregnancy

A nurse is attending to two pregnant clients. The first client was assessed as "early term." The second was assessed as "full term." In order for the nurse to make such assessments, how mature are the clients' pregnancies? A. The first client is between 37 0/7 weeks and 38 6/7 weeks. The second client is between 39 0/7 weeks and 40 6/7 weeks. B. The first client is between 41 0/7 weeks and 41 6/7 weeks. The second client is between 42 0/7 weeks and beyond. C. The first client is between 39 0/7 weeks and 40 6/7 weeks. The second client is between 37 0/7 weeks and 38 6/7 weeks. D. The first client is between 42 0/7 weeks and beyond. The second client is between 41 0/7 weeks and 41 6/7 weeks.

A. The first client is between 37 0/7 weeks and 38 6/7 weeks. The second client is between 39 0/7 weeks and 40 6/7 weeks

At her 14-week prenatal appointment, the client reports experiencing a moderate amount of white vaginal discharge. Which teaching would the nurse provide? A. Wear a panty-liner and change it often. B. Use a vaginal douche to cleanse the vagina of discharge. C. Change the type of bath soap she is using. D. Explain that the loss of the mucus plug is normal.

A. Wear a panty-liner and change it often.

The nurse is providing preconception counseling to a client. Which topic is most important to educate the client on at this time? Adequate intake of folic acid Common discomforts of pregnancy Infant safety at home Gaining an appropriate amount of weight during pregnancy

Adequate intake of folic acid

A pregnant woman calls the clinic in a panic, stating that she is packing to leave her partner who has just assaulted her. Which is the most appropriate response by the nurse? A. "Have you taken out a restraining order as you were advised to do?" B. "What have you done for your partner to do this to you?" C. "Call the police and consider alerting your neighbor." D. "I will have to document this new development."

C. "Call the police and consider alerting your neighbor."

A client asks the nurse about the importance of preconception counseling. In responding, the nurse states that preconception counseling helps women lessen risky behaviors and eliminate exposure to harmful substances. Which statement made by the nurse about contraception cessation would be included in the preconception counseling? A. "Women taking contraception up to a month before pregnancy will be better able to conceive and date the pregnancy." B. "Women using hormonal contraception need to discontinue its use at least one menstrual period before conception." C. "It may take several months or up to a year to conceive after discontinuing Depo-Provera." D. "Women using an intrauterine device (IUD) will have it removed during labor."

C. "It may take several months or up to a year to conceive after discontinuing Depo-Provera."

A nurse is providing prenatal education to a group of primigravida clients with gestational diabetes. Which is the nurse's best explanation for increased maternal insulin needed during the second trimester? A. "Placental hormone human chorionic gonadotropin (hCG) causes maternal insulin resistant." B. "Placental hormone progesterone causes maternal insulin resistant." C. "Placental hormone human chorionic somatomammotropin (hCS) causes maternal insulin resistant." D. "Placental hormone oxytocin causes maternal insulin resistant."

C. "Placental hormone human chorionic somatomammotropin (hCS) causes maternal insulin resistant."

A client from a shelter for battered woman stated, "It is my fault, as I should have not stayed in the situation for so long." Which statement by the nurse is the best response? A. "Did you alert your neighbors to call the police?" B. "Tell your partner that you will be taking out a restraining order." C. "The abuse was not your fault. No one deserves to be mistreated." D. "Whether or not you give me consent, I will be reporting this to the police."

C. "The abuse was not your fault. No one deserves to be mistreated."

The urine culture of a client who is at 36 weeks gestation revealed a urinary tract infection. The client's medical records also show that this is the third occurrence since the onset of pregnancy. which advice should the nurse give her on preventing a reoccurrence? Select all that apply. A. "It is time that you explore different sexual positions." B. "Practice doing Kegel exercises while urinating." C. "Urinate immediately before and after sexual intercourse." D. "Wipe from back to front after passing urine." E. "Drink at least 8 glasses of liquid each day."

C. "Urinate immediately before and after sexual intercourse." E. "Drink at least 8 glasses of liquid each day."

During prenatal appointments, the nurse provides teaching to the client. When providing teaching, which action would the nurse include? A. Provide teaching about all procedures the client will need in one sitting. B. Avoid teaching to the family to assure client privacy. C. Assess the client's understanding of teaching. D. Inform the client that if she has questions, they can be answered at the next visit.

C. Assess the client's understanding of teaching.

The nurse has decided to implement the Centering Pregnancy model for prenatal care instead of the conventional antenatal care. which is the focus of this model of care? Select all that apply. A. The nurse spends more time dealing with the complications of pregnancy. B. The nurse will be better able to take responsibility for the clients' health. C. The clients will be spending more time with the nurse in antenatal care. D. More social support will be available for clients. E. The clients will get one-on-one prenatal care

C. The clients will be spending more time with the nurse in antenatal care. D. More social support will be available for clients.

After completing a physical examination of a pregnant women, the nurse states, "You are definitely pregnant." Which positive finding would have prompted the nurse to make that statement? A. An enlarged abdomen B. Hyperpigmentation of the skin C. The palpation of fetal movement D. An increase in the vascularity of the breasts

C. The palpation of fetal movement

The nurse is conducting a presentation on the prevention of food-borne illnesses with the clients of the prenatal clinic. Which advice would the nurse emphasize? A. Drink plenty herbal teas such as peppermint and chamomile. B. Refrigerate smoked seafood before consuming. C. Wash hands before and after handling food. D. Warm cooked food should be taken out of the refrigerator for more than two hours before consuming.

C. Wash hands before and after handling food.

A 12-week gestation client is reporting frequent urination and is concerned about urinary tract infection (UTI). Which response by the nurse would be most therapeutic? A. "Urinary tract infections are common in pregnancy." B. "Most women experience frequent urination during pregnancy." C. "Your health care provider will order a urine test for urinary tract infection." D. "Would you like to discuss why you might be feeling these symptoms?"

D. "Would you like to discuss why you might be feeling these symptoms?"

The nurse is discussing the physiological changes of pregnancy with a group of adolescent mothers. One clients ask the nurse if her skin will be affected also. Which statement by the nurse is correct about the changes that will take place in the integumentary system? A. "You will have some skin changes such as gingivitis, bleeding gums, and periodontal disease." B. "You will have some skin changes such as the Goodell's, Hegar's, and Chadwick signs." C. "You will have some skin changes, such as edema of the limbs, varicosities, and hemorrhoids." D. "You will have some skin changes, such as linea nigra, melasma, and striae gravidarum."

D. "You will have some skin changes, such as linea nigra, melasma, and striae gravidarum."

A woman visits the clinic and stated that she has missed four menstrual periods and remains unsure whether or not she is pregnant. The nurse informs her that a ballottement test will be done to diagnose whether or not she is pregnant. How can a ballottement test assist the nurse in confirming a pregnancy? A. By using a transvaginal ultrasound the nurse will be able to visualize the gestational sac. B. By detecting the presence of the human chorionic gonadotropin in the urine sample in a laboratory. C. By detecting the presence of the human chorionic gonadotropin in the blood sample in a laboratory. D. By tapping on the cervix the fetus will rise in the amniotic fluid and then rebound to its original position.

D. By tapping on the cervix the fetus will rise in the amniotic fluid and then rebound to its original position.

During the nursing assessment, a pregnant client reports that her spouse has been verbally abusive and slapped her recently. which is the priority nursing intervention at this time? A. Document the statement in the woman's chart. B. Call the police to report the incident. C. Bring in another staff member as a witness to the statement. D. Reassure her that she is not alone and help is available.

D. Reassure her that she is not alone and help is available.

A client states to the nurse, "This is my fourth pregnancy. Do I really need to have all these appointments?" Which is the most appropriate response by the nurse? A. "I'm sure you are very busy with your other children." B. "Early and regular prenatal care can catch problems early and reduce complications." C. "Do you need assistance with transportation or have financial concerns?" D."Of course. Skipping appointments will jeopardize the health of you and your baby."

B. "Early and regular prenatal care can catch problems early and reduce complications."

A spouse calls the birthing center stating that his wife who is 36 weeks gestation is going into premature labor. Which data from the spouse would assist the nurse in determining that premature labor is imminent? Select all that apply. A. "Her headache is not responding to the medication." B. "She is having abdominal cramps every 6 minutes." C. "She is having low back pain with pelvic pressure." D. "Her bag of membranes has just ruptured." E. "She has generalized edema."

B. "She is having abdominal cramps every 6 minutes." C. "She is having low back pain with pelvic pressure." D. "Her bag of membranes has just ruptured."

The nurse is admitting a client who is 10-weeks pregnant. An ultrasound has been scheduled and the client asks the nurse why this test is necessary. which are the appropriate responses from the nurse? Select all that apply. A. "To determine the sex of your baby." B. "To verify your gestational age." C. "To make sure the baby has a strong heartbeat." D. "To make sure the baby is inside your uterus and not in the fallopian tube." E. "To see if you are carrying more than one baby."

B. "To verify your gestational age." C. "To make sure the baby has a strong heartbeat." D. "To make sure the baby is inside your uterus and not in the fallopian tube." E. "To see if you are carrying more than one baby."

The nurse is admitting a client whose blood type is A-negative and had a miscarriage at 5-weeks gestation. which is the appropriate nursing intervention? A. Prepare the client for a dilation and curettage (D&C) B. Administer Rho (D) Immune Globulin (RhoGAM) C. Instruct the client to use contraception for the next 6 months D. Perform an ultrasound to confirm all products of conception have been expelled

B. Administer Rho (D) Immune Globulin (RhoGAM)

The nurse is obtaining a 24-hour diet history from a pregnant client. which food consumed by the client would indicate the need for further teaching by the nurse? A. Pasteurized milk B. Alfalfa sprouts C. Cheddar cheese D. A cup of coffee

B. Alfalfa sprouts

A student nurse in developing a plan of care documented, "Altered pattern of elimination" for a pregnant client who complained of not having regular bowel movements. Which nursing action by the student nurse is appropriate for the client to resume regular bowel patterns? Select all that apply. A. Advise the client to avoid high-fat and spicy food. B. Assist the client to establish regular time for bowel movement. C. Suggest the client eat small, frequent meals instead of large meals. D. Encourage the client to eat high-fiber foods and fresh vegetables. E. Discuss with the client prior strategies used successfully to relieve constipation.

B. Assist the client to establish regular time for bowel movement. D. Encourage the client to eat high-fiber foods and fresh vegetables. E. Discuss with the client prior strategies used successfully to relieve constipation.

In the clinic, the nurse is discussing the recommendations for standard precaution against Zika virus infection. Which advice by the nurse will help clients avoid exposure to the virus? A. "Sleep under mosquitos nets since the Aedes albopicuts mosquitos only bite at night" B. Avoid going to communities that have active mosquito transmission of the virus' C. The Zika virus may cause negative pregnancy so remember to take you vaccination by the 7th week of pregnancy D. It is unnescessary to use protection w/ an infected spouse

B. Avoid going to communities that have active mosquito transmission of the virus'

The nurse assesses two pregnant clients. One client has no previous pregnancy affected by neural tube defect (NTD), and the other has a previous pregnancy affected by NTD. Which action is the nurse expected to take? A. Recommend 0.2 mg of folic acid/day for both clients. B. Recommend 0.6 mg of folic acid/day for client with no previous history of NTD and 0.4 mg of folic acid/day for the client with a history of NTD. C. Recommend 0.16 mg of folic acid/day for the client with no previous history of NTD and 0.12 mg of folic acid/day for the client with a history of NTD. D. Recommend 0.6 mg of folic acid/day for the client with no previous history of NTD and 0.2 mg of folic acid/day for the client with a history of NTD.

B. Recommend 0.6 mg of folic acid/day for client with no previous history of NTD and 0.4 mg of folic acid/day for the client with a history of NTD.

A 19-year-old primigravida client's initial prenatal laboratory results show that she has Rh negative blood. Which action by the nurse is correct? A. Provide antiretroviral therapy during pregnancy and around the time of delivery. B. Rescreen the client in the second trimester and give RhoGAM at 28-weeks. C. Monitor for signs and symptoms of anemia and give the client iron supplements. D. Request a cytology screening every 3 years.

B. Rescreen the client in the second trimester and give RhoGAM at 28-weeks.

The nurse used Naegele's rule to calculate the expected date of delivery (EDD) for a primigravida whose last menstrual period (LMP) was September 7. How did the nurse arrive at June 14? A. The nurse subtracted 3 months from September 7 and then added 14 days. B. The nurse subtracted 3 months from September 7 and then added 7 days. C. The nurse added 3 months to September 7 and then subtracted 14 days. D. The nurse added 3 months to September 7 and then subtracted 7 days

B. The nurse subtracted 3 months from September 7 and then added 7 days.

The nurse is reviewing a client's prenatal lab results and notes the white blood cell (WBC) count as 15,000 mm3. How would the nurse interpret that finding? A. The client has an active infection. B. This is a normal increase due to pregnancy. C. The client is immunosuppressed. D. This is a normal decrease due to pregnancy.

B. This is a normal increase due to pregnancy.

The nurse educator is teaching a class of pregnant teenagers about the importance of receiving regular prenatal care. which are the maingoals of prenatal care that the nurse would include in the teaching? Select all that apply. A. To complete a one-time assessment of health risk status of the pregnancy B. To provide referrals to resources C. To maintain maternal fetal health D. To build rapport with the physician and nursing staff E. To determine the gestational age of the fetus

B. To provide referrals to resources C. To maintain maternal fetal health E. To determine the gestational age of the fetus

An immigrant from Asia who has being living in the shelter for more than a month visits the prenatal clinic. Which laboratory screening would the nurse consider to be priority for this client? A. Tay-Sachs B. Tuberculosis skin test C. Hepatitis B surface antigen D. Cystic fibrosis carrier screening

B. Tuberculosis skin test

To avoid supine hypotensive syndrome while measuring fundal height, where would a nurse position a pillow under a client? Head Hip Feet Knees

Hip

The nurse is teaching a pregnant client about positioning to avoid supine hypotensive syndrome. Which positioning would be effective? Elevate her feet while she is sitting. Dangle her feet over the edge of the bed for 30 seconds before getting up. Sleep in a side-lying position. Place a pillow under her knees while she is in bed.

Sleep in a side-lying position.

A client states, "I think I might be pregnant. My period is late and I've been feeling really nauseous." Which would be the best response by the nurse? "That's great! I am so happy for you." "These are presumptive signs of pregnancy. You could be pregnant." "These are positive signs of pregnancy. You are absolutely pregnant." . "You should schedule an appointment to make sure you do not have an ectopic pregnancy."

These are presumptive signs of pregnancy. You could be pregnant."

During preconception counseling, the nurse is teaching a client about diagnosing pregnancy. Which signs are considered probable signs of pregnancy? Select all that apply. Fetal heart tones Quickening Uterine growth Frequent urination Positive home pregnancy test

Uterine growth Positive home pregnancy test

A client in her second trimester presented at the clinic with a history of vaginal bleeding. She has no history of trauma. Which condition in the client's history would assist the nurse to determine the cause for the bleeding? Select all that apply. Friable cervix Placenta previa Urinary frequency Hyperemesis gravidarum Absence of fetal movement

Friable cervix Placenta previa

A pregnant client with four living children, one preterm infant, and one abortion visits the clinic. How is the nurse expected to record the client's data? G 6 T 3 P 1 A 1 L 4 G 5 T 2 P 1 A 1 L 4 G 4 T 4 P 1 A 1 L 4 G 3 T 1 P 1 A 1 L 4

G 6 T 3 P 1 A 1 L 4

A nurse is caring for a 16-week pregnant client whose obstetrical history includes 5-year-old twins born at 38 weeks gestation and an abortion at 24-weeks after the twins were born. How would the nurse document the client's obstetrical status? G3P2 G3P3 G2P3 G3P4

G3P2 Gravida-total # of times a woman has been pregnant Para-# of births after 20-weeks gestation whether live or stillbirth